Organization Active NPI

Idella'S Care Home

  • Community/Behavioral Health Agency
  • Greenville, NC
National Provider Identifier
1669998001
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
IDELLA'S CARE HOME
Practice address
2912 Lee CT # 9a
Greenville, NC 27834
Phone
(252) 213-6081
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eunice Essien-Hart
Title
Owner
Phone
(252) 213-6081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2912 Lee CT # 9a
Greenville, NC 27834

Mailing address

912 Pristine LN
Rolesville, NC 27571-9307
Phone (252) 213-6081

National Provider Directory

National Provider Directory
Tax ID family
Idella Care Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1669998001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 PRISTINE LN",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719307",
            "telephone_number": "252-213-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 LEE CT # 9A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-213-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDELLA'S CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "ESSIEN-HART",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-213-6081"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.